Customer Review Form

Customer Review Form
Thank you for choosing Peotter & Pals! We'd love to hear feedback from our customers. Please fill out the form below:
Date*

MonthDayYear
Date
Customer's Name

First NameLast Name

Satisfaction rating about the product or service*

	Very Satisfied	Satisfied	Somewhat Satisfied	Not Satisfied
Quality
Customer service
Experience
Price
Professionalism
Friendliness

Did the product meet your expectations?

YesNo
Overall rating

1

2

3

4

5

6

7

8

9

10

1 is Worst, 10 is Best
Comments, suggestions, or feedback
Would you refer us to your friends, family, or colleagues?*

YesNo
Please verify that you are human*
Should be Empty: